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General NPI Number Information
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NPI Number | 1164259966
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Entity Type | Organization
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Legal Business Name | CLINICA DE MEDICINA FAMILIAR DR. FRANKLIN PENA, S.R.L.
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | AV. MAURICIO BAEZ
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City | SAN PEDRO DE MACORIS
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State | DOMINICAN REPUBLIC
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Zip | 21000
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Country | DO
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Telephone | 954-903-7445
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11957
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ESMERALDA PENA
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Credential |
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Telephone | 954-526-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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